Key result
A makeshift stent sandwich successfully sealed a coronary artery perforation with good angiographic results in an elderly woman.
Case Report (n=1)
A makeshift stent sandwich can be a feasible bailout strategy for coronary artery perforation when emergency thoracotomy is undesirable.
May offer bailout in nonsurgical perforation cases; hypothesis-generating and should not change practice without validation.
An elderly woman underwent stenting of mid left anterior descending coronary artery (LAD) 2 days after myocardial infarction. During high-pressure stent dilatation, vessel perforation was noted. We assembled a "stent sandwich" in the cardiac catheterization laboratory and used it successfully to seal the perforation with good angiographic result. Although the long-term patency remains an issue, this case demonstrates the feasibility of using makeshift covered-stent as a bailout for arterial perforation in selected cases where emergency thoracotomy is undesirable.
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PienvichitMD et al. (2001) conducted a case report in Coronary artery perforation (n=1). Makeshift stent sandwich was evaluated on Sealing of the perforation with good angiographic result. A makeshift stent sandwich successfully sealed a coronary artery perforation with good angiographic results in an elderly woman.
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